Reply to Cough - should I take infant in to be sure it isn't RSV?

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Reply to "Cough - should I take infant in to be sure it isn't RSV?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here, thanks! To the answers about what we would do differently if we knew it was RSV ... the answer may be nothing! I do not know enough about treatments for this illness, but if (like it sounds from posters here) the treatment is the same for cold and RSV, then I guess there isn't really any benefit to "knowing" which one it is.

I just wasn't sure if there was anything specific that would be different for treatment.

I did call the nurse line and they basically said "up to you! bring her in if you want!" OK... super helpful.[/quote]

[b]When my 18mo had RSV she was given a steroid to help her airways (or something), so there are some treatments available but only your doctor will know what is needed.[/b]  If your office seems like it has appointments and coming in wouldn't be a burden, can't hurt - might help.[/quote]

There was some interest some time back on whether steroids or bronchodilators would help RSV, but it's pretty clear that they do not. The recommendation is now against this practice, based on the evidence (but not everyone is following up to date practice, or is aware of it -- and sometimes you are dealing with pediatricians, sometimes family or ED docs, sometimes NPs or PAs).

Here is Mayo in RSV and treatments:  "Treatment for respiratory syncytial virus generally involves self-care measures to make your child more comfortable (supportive care). But hospital care may be needed if severe symptoms occur. ... [b]An inhaler (bronchodilator) or steroids are not proved to be helpful in treating RSV infection.[/b]"  https://www.mayoclinic.org/diseases-conditions/respiratory-syncytial-virus/diagnosis-treatment/drc-20353104

But of course, if severe symptoms occur with any virus, hospital care may be needed. The advice above about recognizing labored breathing is perfect!

Best of luck with it, OP. Hope all goes smoothly.[/quote]

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